Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Johanna Lee Wickemeyer, MD

Individual provider Otolaryngology Physician · NPI 1902337033

Dr. Johanna Lee Wickemeyer, MD is an Otolaryngology in Berlin, Vermont. Graduated from Georgetown University School of Medicine in 2017, 9 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut and Vermont.

Years since qualifying
9
Trained at
Georgetown University School of Medicine
Licensed in
CT, VT
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 Fisher Rd Ste 3-1
Berlin, VT 05602-9000
Phone: (802) 225-7025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Howard Ave, New Haven, CT 06519-1369 — (203) 785-2467
  • 111 Colchester Ave, Burlington, VT 05401-1473 — (802) 847-0000

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 042.0018725 (VT)
Sleep Medicine (Otolaryngology) Physician Taxonomy 207YS0012X · Licence 74545 (CT)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 74545 (CT)
Sleep Medicine (Otolaryngology) Physician Taxonomy 207YS0012X · Licence 042.0018725 (VT)

Record details

NPI number1902337033
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2017
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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